Strasbaugh Introduction
Version 4.0 - February 1998; Update 10/19/01 1 - 23
LOCKOUT SAFETY PROCEDURE
(Reproduce for shop copy. Fill-in data or check off as appropriate.)
EQUIPMENT LOCATION:
MACHINE SERIAL NUMBER:
MANUFACTURER: STRASBAUGH
PROCEDURE AUTHORIZED BY:
DATE:
PHONE:
DEPARTMENT:
OSHA regulations state that "The procedures shall clearly and specifically outline the scope,
purpose, authorization, rules and techniques to be utilized for the control of hazardous energy,
and the means to enforce compliance including, but not limited to the following:
A. A specific statement of the intended use of the procedure.
B. Specific procedural steps for shutting down, isolating, blocking and securing machines or
equipment to control hazardous energy.
C. Specific procedural steps for the placement, removal and transfer of lockout devices or
tagout devices and the responsibility for them; and
D. Specific requirements for testing a machine or equipment to determine and verify the
effectiveness of lockout devices, tagout devices, and other energy control measures."
SOURCES OF ENERGY FOR THIS EQUIPMENT: *
Electrical 120 VAC. ___ Gas ___ Hydraulic ___
Electrical 208 VAC. ___ Chemical ___ Pneumatic ___
Compressed Air ___ Thermal ___ Other (specify) ___
STORED ENERGY (Remember energy can be stored!): *
Raised Load _√_ Air Tank ___ Coiled Springs ___
Chemical ___ Charged Capacitors _
√_ Hydraulic Pressure ___
Battery ___ Pneumatic Pressure _
√_ Other (specify) ___
* Note: Some checks provided ... others may apply.
MACHINE MAINTENANCE MANUALS:
Refer to the machine maintenance manual(s) before attempting any activities for
which this procedure applies. The maintenance manual(s) are usually the best single
source of information vital to the understanding of the machine and hazards which
may be present.
To Next Page
Loading...
